Table 3 Programmatic components of the updated CHW AIM tool [63]
From: Community health workers at the dawn of a new era: 10. Programme performance and its assessment
Component | Description | |
|---|---|---|
1 | Role and recruitment | How the community, CHW, and health system design and achieve clarity on the CHW role and from where the CHW is identified and selected |
2 | Training | How pre-service training is provided to the CHW to prepare for his/her role and ensure s/he has the necessary skills to provide safe and quality care; and how ongoing training is provided to reinforce initial training, teach CHWs new skills, and to help ensure quality |
3 | Accreditation | How health knowledge and competencies are assessed and certified prior to practicing and recertified at regular intervals while practicing |
4 | Equipment and supplies | How the requisite equipment and supplies are made available when needed to deliver expected services |
5 | Supervision | How supportive supervision is carried out such that regular skill development, problem solving, performance review, and data auditing are provided |
6 | Incentives | How a balanced incentive package reflecting job expectations, including financial compensation in the form of a salary, and nonfinancial incentives, is provided |
7 | Community involvement | How a community supports the creation and maintenance of the CHW programme |
8 | Opportunity for advancement | How CHWs are provided career pathways |
9 | Data | How community-level data flow to the health system and back to the community and how they are used for quality improvement |
10 | Linkages to the national health system | The extent to which the ministry of health has policies in place that integrate and include CHWs in health system planning and budgeting and provides logistical support to sustain district, regional, and/or national CHW programmes |